Laparoscopic resection with intracorporeal anastomosis for colon carcinoma located in the splenic flexure

被引:24
作者
Ceccarelli, Graziano [1 ]
Biancafarina, Alessia [1 ]
Patriti, Alberto [1 ]
Spaziani, Alessandro [1 ]
Bartoli, Alberto [1 ]
Bellochi, Raffaele [1 ]
Pisanelli, Massimo Codacci [1 ]
Casciola, Luciano [1 ]
机构
[1] Hosp San Matteo Infermi, Dept Surg, Div Gen Minimally Invas & Robot Surg, I-06049 Spoleto, PG, Italy
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2010年 / 24卷 / 07期
关键词
Colectomy; Colon cancer; Colon resection; Laparoscopy; Robotics; Splenic flexure; Surgery; EXTENDED RIGHT HEMICOLECTOMY; CANCER; SURVIVAL; SURGERY; TRIAL;
D O I
10.1007/s00464-009-0853-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
Treatment of splenic flexure (SF) colon cancer is not standardized. A laparoscopic approach is considered a challenging procedure. This review examines a single-institution experience with laparoscopic colon resection for cancer of the SF. Intraoperative, pathologic, and postoperative data of patients who underwent laparoscopic SF resection were reviewed to assess for oncologic safety as well as early- and medium-term outcomes. Between September 2004 and January 2009, laparoscopic SF resection was performed for 15 patients with SF. Two cases of conversion were reported, and for three patients, colonic resection was robot assisted. In all cases, the anastomosis was completed intracorporeally. The distal margin was 3.8 +/- A 2.5 cm, and the proximal margin was 7.8 +/- A 3.7 cm from the tumor site. The mean number of harvested nodes was 9.2 +/- A 5.3. The mean operative time was 183.6 +/- A 45 min, and the blood loss was 98 +/- A 33 ml. No major morbidity was recorded. Laparoscopic partial resection seems to be feasible and safe for the treatment of early-stage and locally advanced SF cancer.
引用
收藏
页码:1784 / 1788
页数:5
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